Individual
JAIME HALZLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4300 COTTON GIN RD, FRISCO, TX 75034-4480
(972) 632-0017
Mailing address
1500 VERNON DR, PROVIDENCE VILLAGE, TX 76227-8107
(951) 775-4138
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
215882
TX
Other
Enumeration date
08/03/2023
Last updated
08/03/2023
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